Evidence map›Paper›PMID 30002023›Full record

ReviewCanadian family physician Medecin de famille canadien2018

Approach to tinnitus management.

Vincent Wu, Bonnie Cooke, Susan Eitutis, Matthew T W Simpson, Jason A Beyea

Abstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Internet/smartphone-based applications for the treatment of tinnitus: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
    Pooled it
  2. Trial
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  8. Review
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  12. Do Body Mass Index Levels Correlate with Tinnitus Among Teachers?International archives of otorhinolaryngology · 2022
    Article
  13. Article
  14. Tinnitus Update.Journal of clinical neurology (Seoul, Korea) · 2021
    Review
  15. Acellular dermis (SureDermGMS Interdisciplinary plastic and reconstructive surgery DGPW · 2021
    Article
  16. Article
  17. Canadian family physician Medecin de famille canadien · 2020
    Article
  18. Approach to hearing loss.Canadian family physician Medecin de famille canadien · 2020
    Review
  19. Article
  20. Link between dietary changes and tinnitus management.Canadian family physician Medecin de famille canadien · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Vincent WuMedical student in the Department of Otolaryngology at Queen's University in Kingston, Ont, at the time of writing.
Bonnie CookeAudiologist in the Department of Speech Language Pathology and Audiology at Hotel Dieu Hospital in Kingston.
Susan EitutisAudiologist in the Department of Speech Language Pathology and Audiology at Hotel Dieu Hospital in Kingston.
Matthew T W SimpsonFamily physician in the Department of Family Medicine at Queen's University.
Jason A BeyeaOtologist, neurotologist, and cranial base surgeon, Clinician Scientist, and Assistant Professor in the Department of Otolaryngology at Queen's University, and Adjunct Scientist at the Institute for Clinical Evaluative Sciences Queen's. jason.beyea@queensu.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide family physicians with an evidence-based and practical approach to managing patients with tinnitus. SOURCES OF INFORMATION: MEDLINE was searched for English-language tinnitus guidelines and reviews. All such articles published between 1980 and 2016 were reviewed, with most providing level II and III evidence. MAIN MESSAGE: Tinnitus affects more than 40% of Canadians at least once in their lifetimes, most commonly older adults. Tinnitus is the perception of sound without external stimulation. It can greatly affect a patient's physical and psychological quality of life. Clinical history taking is directed at eliciting whether symptoms have a pulsatile or nonpulsatile quality, whether symptoms are unilateral or bilateral, and whether there is associated hearing loss. For tinnitus that is pulsatile or unilateral, referral to an otolaryngologist is recommended, as these qualities might be associated with more serious underlying conditions. Most patients with tinnitus can be managed with reassurance, conservative measures, and hearing aids if substantial hearing loss exists.

conclusionFamily physicians play the primary role in managing patients with tinnitus and are well situated to address both the physiologic and the psychological manifestations. As tinnitus is very common, helping patients cope with the symptoms through conservative measures and reassurance can prove to have the best outcomes.

Indexed as

Hearing AidsPhysicians, FamilyQuality of LifeClinical CompetenceDisease ManagementHearing LossHumansLoudness PerceptionPerceptual MaskingTinnitus

Identifiers

PMID30002023
PMCPMC6042678

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.